Day Care Registration

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Day Care Registration

DAY CARE ONLINE APPLICATION FORM

Thank you for choosing Zein and entrusting us with the care of your child. Please use the online form below to apply for a Day Care place at one of our locations. Once we have received your registration we will be in touch to confirm availability and, if applicable, issue a parental contract.

Expecting a new baby? Congratulations! Expecting parents are encouraged to complete our application form prior to their child's arrival, simply providing the expected due date and planned start date on the application form.

Location & Dates

Start Date *

Day

Month

Year

Please indicate your preferred start date

Type of Place *

Day Care

Indicate your preferred location *

The Little Castle (Voorburg)

The Estate (Benoordenhout, Den Haag)

The Willows (Leidschenveen, Den Haag) (under construction)

The Maples (Bomenbuurt, Den Haag)

Language choice

Please note: The Little Castle will open in March '18 with English-speaking groups.
on 27 August, a bilingual group will open for children aged 13 months - 4 years.

English Speaking

Bilingual (Eng-Dutch)

Preferred Day(s) *

Monday

Tuesday

Wednesday

Thursday

Friday

Child's Details

Child's First Name *

Child's Last Name *

Date of Birth *

Day

Month

Year

Gender *

Male

Female

Child's Nationality *

Home Language(s) *

Child's BSN (if available)

'BSN' = Burgerservicenummer

Current Day Care

Is your child currently attending any other Day Care or Pre-School? If yes, please state name of the current care location & city:

School Choice *

Have you already selected a future school for your child? If so, please indicate which one in the field below. If no, please indicate no selection has yet been made.

PARENT 1 - Contact Details

Please note: parent 1 is acknowledged as the first point of contact for our communications.

Title *

First Name *

Last Name *

Street Name & No. *

Postcode *

Town/City *

Email Address *

Mobile No. *

Daytime Phone No. *

Parent 1 BSN (Burgerservicenummer) *

'BSN' = Burger Service Number

Company Name *

We provide services for families working for a diverse range of international - and local - companies. It is very useful for us to be able to track where our customers work so that we can ensure we provide information to the right organisations. We would value it if you could complete the question below:

Shell

European Patent Office

Europol

International Criminal Court

ICTY

OPCW

NCI Agency (NATO C3)

Eurojust

Ministry of Foreign Affairs

European Medicines Agency

Other International Organisation

Other Local Organisation

Self Employed

PARENT 2 - Contact Details

Title

First Name

Last Name

Street Name & No.

Postcode

Town/City

Parent 2 - Email Address

Mobile No.

Daytime Phone No.

Parent 2 BSN (Burgerservicenummer)

'BSN' = Burger Service Number

Company Name

We provide services for families working for a diverse range of international - and local - companies. It is very useful for us to be able to track where our customers work so that we can ensure we provide information to the right organisations. We would value it if you could complete the question below:

Shell

European Patent Office

Europol

International Criminal Court

ICTY

OPCW

NCI Agency (NATO C3)

Eurojust

Ministry of Foreign Affairs

European Medicines Agency

Other International Organisation

Other Local Organisation

Self Employed

Extra Emergency Contacts

Full Name

Contact 1 - Mobile

Full Name

Contact 2 - Mobile

Medical & Other Details

Name of Family Doctor *

Doctor's Contact Number *

Allergies / Medical Conditions

Please use this space to inform us of any relevant allergies or current medical conditions.

Additional Information

Is there any other information relating to your child / family circumstances you would like to inform us of?

Siblings

Sibling's Full Name

Does sibling attend Zein Day Care?

No, sibling doesn't attend Zein

Yes, at The Willows

Yes, at The Estate

Yes, at The Little Castle

Yes, at The Maples

Does sibling attend Zein After School Care?

No, sibling does not attend Zein

Yes, at The Willows

Yes, at The Estate

Yes, at The Maples

Yes, at The Elms

Yes, at The Oaks

Sibling's Full Name

Does sibling attend Zein Day Care?

No, sibling doesn't attend Zein

Yes, at The Willows

Yes, at The Estate

Yes, at The Little Castle

Yes, at The Maples

Does sibling attend Zein After School Care?

No, sibling doesn't attend Zein

Yes, at The Willows

Yes, at The Estate

Yes, at The Maples

Yes, at The Elms

Yes, at The Oaks

Marketing Information

How did you hear about Zein? *

Recommendation from a friend / work colleague

Via an online 'Google' search for international childcare services

Information via school Admissions Department

Information via ACCESS or the International Centre in The Hague

Online information seen on expat website

Information seen on an advert in a local expat magazine

Information via a flyer delivered to my house

Information received when visiting an expat exhibition

Via a large outdoor banner promoting Zein's services

Please indicate below the main way through which you came to find out about Zein.